Pharmacy Business Operations Manager

Position Overview

We are seeking a highly organized and operations-driven Pharmacy Business Operations Manager to oversee inpatient and outpatient pharmacy functions across our Michigan locations, including Flint, Warren, and Coldwater. This role ensures all pharmacy operations run efficiently-covering claims oversight, credentialing, shipping workflows, staffing, regulatory readiness, and 340B support. The ideal candidate will lead multi-site pharmacy operations, strengthen financial and operational performance, and ensure seamless coordination between inpatient and outpatient teams.

Key Responsibilities

• Operational Leadership & Multi-Site Oversight
• Oversee daily pharmacy operations for outpatient and inpatient locations in Flint, Warren, and Coldwater.
• Ensure smooth and compliant workflows across all sites, including inventory, ordering, dispensing, shipping, and staffing.
• Maintain communication with inpatient pharmacy leadership to ensure medications are appropriately ordered, stocked, and reconciled.
• Support licensure expansion into additional states for outpatient pharmacy services.

Claims, Billing & 340B Support

• Monitor and track all pharmacy claims across TPAs, PBMs, and payors to ensure accurate adjudication.
• Verify credentialing status for all pharmacies and ensure all payor enrollments remain active and compliant.
• Oversee 340B-related workflows, including auto-billing validation, claim matching, diversion/exclusion checks, and pharmacy-covered entity coordination.
• Identify discrepancies, underpaid claims, or missed revenue opportunities and escalate/resolution as needed.

Shipping & Fulfillment Oversight

• Ensure shipping operations are timely, compliant, accurate, and aligned with pharmacy standards.
• Monitor packaging, routing, temperature control, and tracking processes to maintain quality and patient safety.
• Develop improvements to increase speed, accuracy, and cost-effectiveness.

Staffing, Hiring & Team Management

• Lead hiring efforts for pharmacists, pharmacy technicians, and support staff across all Michigan locations.
• Support new hire onboarding, training, performance expectations, and workflow alignment.
• Ensure proper staffing models are maintained to support volume and growth.

Growth & Outpatient Pharmacy Development

• Drive growth of the outpatient pharmacy through optimization of workflows, patient engagement strategies, and provider alignment.
• Work with business development, clinical teams, and operations leaders to expand outpatient pharmacy services.
• Monitor KPIs, including volume, turnaround time, claim success rates, acquisition cost trends, and margin performance.

Regulatory, Compliance & Credentialing Coordination

• Maintain up-to-date licenses, permits, payor contracts, enrollments, and state board requirements for all pharmacy locations.
• Ensure compliance with all Michigan and federal regulations, including pharmacy board rules, USP standards, and applicable accreditation standards.
• Prepare documentation and support audits, inspections, and regulatory reviews.

Cross-Functional Collaboration

• Partner with finance, operations, compliance, HR, inpatient pharmacy, outpatient pharmacy, and leadership teams to ensure alignment and execution.
• Serve as a primary point of contact for all pharmacy operational issues across Michigan locations.
• Step in to support staffing or operational needs during high-volume periods.

Required Qualifications

• Bachelor's degree in Pharmacy, Business Administration, Healthcare Administration, or related field.
• Strong operational, organizational, and project management skills.
• Experience in pharmacy operations (inpatient, outpatient, or specialty).
• Ability to manage multiple sites, workflows, and competing priorities.
• Excellent communication, documentation, and leadership abilities.

Preferred Qualifications

• Multi-site pharmacy management experience strongly preferred.
• Understanding of pharmacy claims, TPAs, PBMs, and reimbursement models.
• Working knowledge of 340B operations and auto-billing workflows.
• Background in pharmacy credentialing, licensing, and payor enrollment.
• Experience managing shipping/fulfillment operations in a pharmacy environment.
• Familiarity with USP / , Michigan Board of Pharmacy requirements, and outpatient/inpatient operations.
• Experience supporting pharmacy growth initiatives or expansion projects.